39D0926994 CLIA NUMBER - PRIMARY CARE ASSOC OF LANSDALE

Laboratory Demographics

  • CLIA Code: 39D0926994
  • Facility Name: PRIMARY CARE ASSOC OF LANSDALE
  • Facility Address: 125 MEDICAL CAMPUS DRIVE, SUITE 215
    LANSDALE, PA
    ZIP 19446
  • Facility Phone: 215 368-4434
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUBODH K. DEBNATH
  • NPI Number: 1104374537
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0926994
LAB Type Physician Office
Facility Name PRIMARY CARE ASSOC OF LANSDALE
Street 125 MEDICAL CAMPUS DRIVE, SUITE 215
City LANSDALE
State PA
ZIP 19446
Phone 215 368-4434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Physician Office
Lab Director DR. SUBODH K. DEBNATH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025